Individual
JASON CARLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
2848 S DELSEA DR, #3, VINELAND, NJ 08360
(856) 696-0404
(856) 696-8555
Mailing address
232 LAUREL HEIGHTS DR, #4, BRIDGETON, NJ 08302
(856) 455-9730
(856) 455-5165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00177900
NJ
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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